HomeMy WebLinkAbout24026-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25624 Date: 04/01/98
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 1585 LONG CREEK DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 7 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 14, 1997 pursuant to which
Building Permit No. 24026-Z dated APRIL 1, 1997
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING.
The certificate is issued to THOMAS TYREE
(OWNER)
of the aforesaid. building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 04/03/98
PLUMBERS CERTIFICATION DATED N/A
Buil ng ins for
Rev. 1/81
rolmm NO. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 24026 ,Z Date ............G /.................................
Permission is hereby granted to:
�}t�z `�S7-.4✓✓ ..... ! P ....... ..s
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to ..f�J 4�...,. ?...t! {��f�........i� �4.........� 1.... .1/?..-2��i ... t✓ i�...........
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..... r..Gni.........1��r,. .�r.F./..lc%`f..............'�... /J�''��.-( 1... ........ .r.........................
.............................................................> .1...............................................................................................
................................................................................ ................................ ................. .. ...... ..............
at premises located at.......... �o`. / �_ ! f�....,1�/ :..t............. .. q�(�4f'
................r!s L' ...... .... . 77 .....
County Tax Map No. 1000 Section
y�J. ............... Block ...®l............ Lot No. .....�3..........
pursuant to application dated ...:r:/"�kc-.O ....1..?`..IA................... 1917 and approved by the
Building (Inspector.
Fee 5... l.S..6?-........
..................... ............................
/ uil g Inspector
Rev. 6/30180
U13LDG.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
TOM OF 50 OLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. - For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'.'pre-existing" land uses: ,
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.`00, Commercial $15.00
e . .`.�`.�\`�. . .. . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . .. . .. .. ld Or Pre-existing Buildin ... . . . .. . . . . . . . . .
Location of Property. \A!. 5 .. .. .S 3�5�. . .�. .. . �. . . .. . . . . . . . .S.a �c7�?� �•. . . .\� \1,/
House No. Street Hamlet
Onwer or Owners of Property.. . . . . . . . . . . . , , , , , , , , , , , , , ,
County Tax Map No 1000, Section. . . � . . . . ..Block. .. . .1.q . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
Subdivisions. . . . . . . . . .. . . . . .. . .. . . . . .. . . . . .I. . .. .Fcciled Map. . . . . . . . . . . .Lot. . . . . . . . . .rr. . . . . . . . . . . .
Permit No a. zZ . . .Date Of Permit. ?.:�:. .0 . . . .Applicant. .?� �S4TN.�.Ry� S<< .
Health Dept. Approval. . . .. . . ... . .. . . . .. . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . .. . ... . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . .
cl 7-- �) 5 gay
1 S J)5 ,4 APPLICANT
8LD INSPECTION REPORT DATE COMMENTS
II II —
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1-01UNDATTON ( IST)
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FOUNDATION (2ND)
t
AOUGS FRAME
PLUMBING
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INSULATION PER N. Y. — Ii 74
STATE ENERGY
CODE
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FINAL BII
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ADDITIONAL COMMENTS:
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
r8070538 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038 r
Date APRIL 10,1998 Application No. on file 1577129$/98 H 059453
THIS CERTIFIES THAT r
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
THOMAS TYREE, 1585 LONG GREEN DRIVE, SOUTHOLD, NY
in the following location; ❑ Basement ❑ Ist Ft. Q 2nd Ft. Section Block Lot
APRIL 02 1998 t
was examined on + and found[o be in compliance with [l+e National F.Ieclricn!Cade.
L
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS IINCANDESC Tj FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMi. K.W. AMT. K.W. AMT. H.P.
i
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Ir
SYSTEMS I
AMi. K.W. OIL H.P. GAS H.O. AMi. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS L
r
SERVICE DISCONNECT NO.OF S E R V I C E -
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT, AMP. TVPF EQUIP. 1 0]NI 1 ® 3W 3 0 SW 3 0 4W PER 0 OF CC.GOND. NO.OF HI-lEG OF HI-LEG NO.OF NEUFRALS OF NEUTRAL -
OTHER APPARATUS:
SMOKE DETECTOR ONLY-1
SMOKE DETECTOR:-1
THOMAS R. TYREE fob , , L
1585 LONG GREEK DRIVE
SOUTHOLD, NY, 11971 GENERAL MANAGER
N11
Per
This certificate must not be altered in oily manner; return to the office of the Board if Incorrect. Inspectors may be Identified by their credentials.
lim
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
z/v�� �
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: D,lzlr-
DATE Y' -Z 9 INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ l FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE� � INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: O
4pz , ��Jrv�P G9�JJ22i! o�
�- , S
DATE INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
( FRAMING [ ] FINAL
[ ] FIREPLACE & CH MNEY
REMARKS:
DATE' INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] R GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 7 INSPECTOR
FLOOD ZONE LINE FROC9 'RM
CChIMU,'11"I" FAI
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360813 007E F AL&. 116,!993
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CERTIFIED r0'
THOMAS TYREE
HORIZON FINANCIAL SURVEY OF
rOMMONWEALTH LAND TITLE INSURANCE COMPANY
ANY ALTEAATxW OR AW7XV TO Tris surVEY ASA VIOLA MY LOT 8
OF ZC7 M 7209 OF rW" YORK STATE'MCA r&W LAW,
_;carr As PET SECWH 7209-SWIM v z ALL CERTFICATXM " SUBDIVISION MAP OF
hUFM SAV PORCWES" PCi ssAAV m�OF7W"VEYOR LONG POND ESTATES - SEC. ONE
WHOSE'MM fLff APPEARS FERECK
4OP1rV ALLY FOCOMPLYWINis/,Y LAW M rERll -AL r&7MBY' FILED DEC. 27, 1985 FILENO. 8037
AW r B_!USED PY ANY AAD A' • ':1; VEYORS UM Ns A COPY
AT S O U T H O L D
OF ANOW SC3VEYOR'S APAP. rT RHS S'XN AS 'NSPECIEO'ANSA
'8R0UWr-r0-D4TE'ARE mora,.,WPYU . rWrH Ire LAW. TOWN OF SOUTHOLD
ce�� Dt MFldl'�� SUFFOLK COUNTY , N .Y.
zaep 1000 - 055 - 07 - 03
N. LIC. NO. 49618 ( SCALE I" = 40 '
FEB . 5 , 1987
PE kd, f V OR - P.C. July 21, 1y87
(516 An502� �
a
P 30 9 �' '7' AREA = 42 , 747 SQ. FT
SOUTHOL /971 "ERT 6/61.96 OR 0 . 98f AC .
CERT, 01/27/94
87; - 132
BOARD OF NRALTH . . . . . . . . . . . . . . .
- --
A ( nn FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
a BUILDING DEPARTMENT CNRCR . . . . . . . . . . . . . . . . . . . . . . . . .
MM 14W7 ,�.._. TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
E& SOUTHOLD, N.Y. 11971
i TEL: 765- 1802 NOTIFY: CV-Av. r1 . AV-M
BLDG.DEPT: !d itdL
TOWN OF S UT,tOr O CALL 7 . . . . . : . . . . . . . . .
Pxmuheol...... ../...... 19. ...� (! ,..2_ MAIL, TO: (,Q,h:� !"^: '•'� . . . . .
Approved.......7•'/1....., 19?� Permit No. ro�... ..........I.o .......... ....
.. .o ......
Disapproved a/c ..................................
.............................................
di Inspector)
APPLICATION FOR BUILDING PERMIT
' Date. l
INSTRUCTIONS
n. This application most be carvip]etely filled in Iry typewriter or in ink and submitted to the Building Inspector wit
3�sets of plans, accurate plot plan to scale. Fee according to schedule.
h. Plot plan slxrwing location of, lot and of buildings on premises, relationship to adjoining, premises or public
streets or areas, and giving a detailed description of laynut of property must be drawn on the diagram which is part of
this application.
c. 'fire work covered by this application ray not be cam enced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on lire premises available for inspection thraot ut the work.
e. No building slmll be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted-by the Building, inspector.
APPL1(AfION IS HEREBY M IE to the Building Department for lire issuance of a Building Permit phrsunnl to the
Building 7one Ordirvn)ce of the Tam of. Southold, Suffolk Camty, New York, am] other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all app] icabl.e laws, ordinances, building code, housing code, and
regulations, and to admit aotixrr fixed inspectors an premises and in luilcling IF necessary inspections.
_... .{'.. ......................... ........
(Si, K Kure of applicant, or nave if a corporation)
(Mailing address of applicant)
State wlxtlher applicant is owrher, lessee, agent, architect, engineer, general contractor, electrician, plomher or builder
.................................................................................
Name of owner of premises ..tn�R...�1 ta�?Y ..�.T?a*...... .............................
........................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly autorized officer.
.........................................................
(Nam and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. ...... ...............
Other Trade's license No. ....................
1. location of lard on which purposed work will be done..............................................................
�`.... ....._..�...... ..._GR..... �ry ic........................ �St ......................................
lkxhse Nardner •..•Street Hamlet
CAmty Tax Map No. 1000 Section .....5S....... Black ....7........... bot ....3..........
Subdivision ...................................... Filed Map No. ............... lot ...............
(Nam)
2. State existing use and ocorpanx-
y of premises and intended use and occupancy of proposed construction:
a. Existing use and Occupaaxy . .......fL��S'.ori-Yfn?v�...................................................
b. Intended use and occupancy ......... ..................................................
}, Ildnre of lxak Wieck khi(h a{hdicable): tknt Rnilding . .... ... .. Nklilinu ..00. . . . hil Meal iun . . . . . .. . . .
Ih!lalir ......... ... Italwal . .. .... ... .. . Dcvnl it ion .. .. ...... .. Other link ....... ... ...... ...... ... ... ... ....
4. list blvdMi ('nsl ......... fee ............. ............................ .....
(lo Ile paid on fill"{; this application)
'i. If (h xa ling, IrOil er of (Melt iI InliIs .. . .. ... . .. . li.rllxer of (ha.11hlg units (n Mich floor .. . . . ... . .. .. ...
If garage, nualler of cars ... ..... . . .... . ... ................... .
6. If Irlsilrss, cnnlerclyd or mLMI (x:cllnlwy, specify nalune mul exleuL of each type of use... .. .. .... ...........
). Dimunsi(ns of exist LOU sLnu:Urtes, if any: Front.. . 1. . .. . ... .. heir . ��.... ....... Depth ..31-A.. .........
nq 1
Ik:i(IILL . ......p�.............. Nniler of St Dile" IN ..
Di"erasions of stole slrix:Lure with tdterati(ns or tukl{Linnn: Front . . .3.(. . .. ..... Rear . .r✓.I. . .. . .. ...
Ikplh .....3 L:1....... ..... lleight .. .. .... .. .. ..., , 13,nl x:r of Stories .&yZ ........
R. Diunnsions of entire new minstimt ion: Fant . . .. . ....... .. .. !tear .. . . . . . . .... ... Depth . .. .. . .. .. . . ..
Ik:if;hl .... ..................... Cirliler of 5luries 61.1Jr.ptplXfoM To _ Do52'vl'C�L)
9. Sire (If lot : Front ........... ..... . ... IteHr ... ... ... .. .. . .... .. Depth . . .. .... ... ... . .. ...
10. Itile of 1111'011me ................. ... . Nati: of Fntner OAwr ..... ... . . . ... ... ....... ... . ... ... ..... .
II. Vone or u:u: dislri(A in tAlhil 1,1011i6ea lire situated ... .. . ... .... ... .... ... ..................... ... . ..... ...... . . .
12. Ones proln:u:d consttnA ion violate any xtning ltu, ordiamx:e or regulat ion: . ...fits?... ... ... .. . ... .
I'1. Will IOU Ix: reglOded ....WP.. ...... .... Will excess fill Ile rl:tlr Vee fern prolds,61; YES
M. N:nlcs of (tiler of prenises Nviresal.nor.?.l�t;+laGkK�:K.•PF:1?!E...... [1sn v.
t4nr! of Arcliltecl -.'tool. .l i .. ......... .... ..... (vklress !.9 .. .. . I�.05�:. liiiia No. 1�..'&..N,
ibne. of ('ail Ona or ......... ...... . . ..... ...... ... .... fvklless .. . ... ... .......... . ...... ... ..Mone til. ... . ... . . .
h. Is this projerly within 3W feet of a tidal mthin 1Y A YNS X .. .. .. NO . ..... ... .
AIF us, J' XFIIKNI) -inm -11anI1LS Niltlll'1' INY Rli lagplltim.
PLOT DIAGRAM
I txaa a clearly and distinet-ly all Inildings, %Alether exist.ing or prolnsed, coal indicate all set-iux:k dimensions
film plullerty linea. Give street nixi bhxi: biller or descr ipLitn according to deed, and shmi street. "men Had indicate
wild lir inter for or connr lot.
MKII: 01; 19:W Y(m,
ti:i
(11AINIY lA. ...... ... ... ...... .....
t�!).•..ASM.?..... ... ... ... .... .... . . . ...Ix!iug July r.�.an n, dein.^,es Had says that: Ile is the applicmll
(None III hitliv Idmil signing conlracl)
all ve molvd,
lk! Il: tlx: . ... .. 'Af 6!l!- ..... ... .. .... .. . . .... .... ..... . .. . ... .. . .. .. . . ... ...... .. . ... ... ...... .....
(Untltnctur, ngetlr, collnrnle Officer, ele.)
Of raid l.nxtr on Vdllrva, Had is duly aulhntized to ["Munn OI have levroried the said wl th tax[ to nolle Had fill! this
applicnlinn; IhaL all atatenenLe coldah"I in this application ate line to file Ix!l;t- of his klxntllalge Had Inlief; and
livailhe (Alk will he perfonaxl in the nvuoxtr net forth ill like applient.iou filed [herewith.
.`lain tO Ixtrule ole Illi.^, n
. . .. ./.0T... .. . . . Aly of .09-No {�.M1M1_.. . 19. .7• .7.
NIII.:uy Unblic .. c:C�.. �[?<>'iQ4-:U......._
S il,nai Ole of App! icmnl)
(.NIDA J.COOPER
NNr 4822663 Suffolk t�te of p ntyF
Trrtn expires December 3'1,78_--
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- ..., . ,pNDENWRIEQU R pIFICA7E -
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE,
OF OCCUPANCY
- APPROVED AS NOTED
o . . DATE: H.P.N,-
.. - —
.. .� _
FEE. FY BU_ dY:
- , NOTIFY BUILDING DEPART
_ 766-1802 9 AM TO 4 PM FORTHE
- - - FOLLOWING INSPECTIONS:
- 1. FOUNDATION • ,TWO'REQUIRED
P EY
FOR POURED CONCRETE
2. ROUGH FRAMING & PLUMBING
_ - 3. INSULATION
t , 4. FINAL - CONSIRUGTION MUST -
BE COMPLETE FOR C.O. -
_ ALL CON$I'FIJCTION SHALL MEET-'
J: t THE' REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT PESP0 NSIBLE FOR
- - - DESIGN. OR CONSTA'UCTION ERRORS_
"(: POS:, _ ,_R
2. ROUGH i NG & PLQk., G ..
I
3. INSULAT r
,II
IA MPLETOE FOR C. ?ION M,4.ET
AL CpNSTFlUCTION SH L-,FMEET '
T REQUIREMENTS' OF 'N.Y. ,
- TATE tiON$TRUCTION., &' E flGV..
CODES. ' NOT '.RESP..ONSI6LE' . A
DpSIGN OR
CONSTRUCTION ERRb
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